OUR FOCUS ON PATIENT SATISFACTION Presenters: Frank Panzarella, Vice President of Operations Martha Sunkenberg, Senior Director of Health Center Operations Brenda Ferraro-Hanson, Population Health Management Specialist October 4, 2016
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OBJECTIVES Best practices for improving patient satisfaction Bassett s experience with data integrity Solutions that have helped with closing care gaps 3
Background Bassett Healthcare Network is an integrated healthcare system that provides care and services to people living in an eight-county region covering 5,600 square miles in upstate New York. Mission Who we are " Bassett Medical Center is an academic medical center that exists to advance the healthcare of rural populations through: Providing excellence in the continuum of care Educating physicians and other healthcare professionals Pursuing health research The organization includes: Six corporately affiliated hospitals Skilled nursing facilities Community and school-based health centers Home health DME companies Medical school Health partners in related fields Presentation Title Date
1984 2015 5
The Need Effectively engage patients to return to the office Support the right volume of patients Manage the health of the population Maintain patient satisfaction scores Ensure providers were happy with the solution processes and results 6
Implementation Product: IBM Phytel Outreach Pilot Group: started with a pilot group of 21 physicians Engagement: providers were involved in the implementation and protocol decisions Preparation: engaged staff months before go-live with demos, education, and training Focus: heavy on data validation during implementation Results: Smooth implementation and rapid roll out that has brought our active provider count to 118 7
Patient Outreach Campaign: Pre Go-Live Distributed local press releases Placed radio ads Created pamphlets and exam room posters Added an announcement to the landing page of the patient portal Trained staff to explain the new service and route questions or concerns appropriately 8
HANDLING PATENT FEEDBACK Give the patient opportunities to provide feedback/make a complaint Listen to the patient feedback and make changes Customize messages to fit patient preferences Establish an internal process to handle complaints Follow up to let the patients know issues were resolved 9
DATA INTEGRITY PRACTICES Complete data validation during implementation Investigate any inaccurate calls Understand data mappings Standardize provider coding Ask questions 10
PHYSICIAN ACCEPTANCE Secured buy-in with product demos Included providers in vetting protocols Evidence-based protocols were not controversial Providers were accepting of the national standards Shared the outcomes with the providers Presentation Title Date
Finding the Right Volume of Patients Pediatric populations Patients between the ages of 50-69 Patients with co-morbidities Patients in need of preventive services Patients in need of mental health services All of these interventions are crucial to population heath management and are being reflected in improved quality metrics. 11
Phytel ROI Analysis Dashboard Presentation Title Date
Metrics of Successful Protocols Depression Protocol: 1,894 patients came in for a depression follow-up visit between September 2015 and August 2016 Mammogram Protocol: 3,141 patients came in for breast cancer screening exam between September 2015 and August 2016 Pediatric Wellness Protocols 2 mo 18 yrs: 3,683 patients came in for well child/teen care between September 2015 and August 2016 At the end of 2015, we received a significantly larger payment from our Medicaid Managed Care Insurance Carrier for completing preventive pediatric services. We attribute this $200,000 increase due to the Phytel Outreach program calls Presentation Title Date
Working with IBM Post Go-Live Communicate with your IBM Phytel team The IBM Phytel team made message modifications after we learned how patients were responding. The team s reliability and communication were strong when we ran into technical problems Evaluate configuration settings regularly Review value reports and understand outcomes Presentation Title Date
Engage Patients with Different Forms of Communication Patient Advisory Council The council meets quarterly, and we re present at their meetings We ask for their feedback on messaging to patients Update the patient portal landing page Share current metrics or updates with patients My Healthy Decisions Quarterly newsletter to patients Mailed to households Simple way to distribute information and share results Presentation Title Date
Keeping Patients Informed My Healthy Decisions is a quarterly newsletter to patients Highlight Bassett s clinical improvements Features metrics on preventive services, immunizations and women s care Helps demystify population health for the general public Presentation Title Date
Latest My Healthy Decisions Article Provides detail on the gap in care calls Shares metrics with patients Explains what a patient can expect from a visit Lets patients know they can expect a feedback survey Presentation Title Date
Results Appointments Booked: Between the September 2014 go-live and April 30, 2016, more than 43,000 additional booked appointments were tied back to automated calls Low opt-out rate: 7% opt-out, 4% have left the area, 2% object to being called for care reminders and <1% are deceased. High booking ratios: Physicians who have used the solution the longest continue to achieve mid- to upper-90 percent booking ratios, compared to mid-80 percent for non-users. Six month comparison: In March 2016, Bassett registered the highest level of available hours in its history at approximately 28,000 booked hours (87% booking ratio). Six months earlier the figures stood at 26,855 hours and an 85% booking ratio. Financial Impact: Total net collections 1 to 1 attribution to IBM Phytel Outreach patients is $2.6 Million from initial pilot in September 2014 to August 2016. Total net collections direct and indirect attributed to IBM Phytel Outreach patients is $10.4 Million for September 2014 to August 2016 12
QUESTIONS? 13